Individual
AMY M MERRY
Active
Individual
AMY M MERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 003963
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000372031
ANTHEM PROVIDER NUMBER
OH
01
—
11648861
CAQH NUMBER
OH
01
—
23-2804807
REHAB PROVIDER NETWORK
OH
05
—
2614488
—
OH
01
—
31-1356625
GREAT WEST PROVIDER NUMBE
OH
01
—
311356625029
CARESOURCE MCO
OH
01
—
685840
UHC
OH
01
—
9400939
PHCS NETWORK
OH
Enumeration date
12/08/2005
Last updated
07/21/2022
Update your record
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